Active NPI
Brett A Payne, RD
- Registered Dietitian
- Columbus, OH
National Provider Identifier
1104881754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD5276
- Practice address
- 450 West Tenth Avenue
Dept of Nutrition 9-07 Rhodes Hall
Columbus, OH 43210 - Phone
- (614) 293-2300
- Fax
- (614) 293-3740
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD5276 | OH | Primary |
Addresses
Primary practice location
450 West Tenth Avenue
Dept of Nutrition 9-07 Rhodes Hall
Columbus, OH 43210
Mailing address
660 Ackerman 3Rd Floor
PO Box 183103
Columbus, OH 43218-3103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD5276 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205971200000",
"number": "1104881754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 ACKERMAN 3RD FLOOR",
"address_2": "PO BOX 183103",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432183103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 WEST TENTH AVENUE",
"address_2": "DEPT OF NUTRITION 9-07 RHODES HALL",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43210",
"telephone_number": "614-293-2300",
"fax_number": "614-293-3740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "BRETT",
"middle_name": "A",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2008-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "LD5276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.